在癌症护理中评估悲伤:利用心理测量仪器对观察性研究进行系统审查
Rebecca Mattson1, Margaret Henderson2, Savitri Singh Carlson1
1School of Nursing, San Diego State University, San Diego, CA 92182, USA.
Healthcare (Basel, Switzerland)
|July 29, 2025
概括
癌症患者经历了重大的心理悲伤,经常被忽视. 本次审查强调了对结构化查和支持服务的需要,以有效地管理患者的悲伤.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 癌症患者的悲伤是一种多维反应,包括预期性,存在性和身份困扰.
- 与护理人员或医疗保健专业人员的悲伤相比,患者的悲伤没有得到充分的研究.
- 本综述综合了成人癌症患者心理悲伤的经验数据.
研究的目的:
- 系统地审查使用验证的心理测量仪器测量成人癌症患者悲伤的观察性研究.
- 综合了关于心理悲伤在这个人群中的流行程度和重要性的研究结果.
- 发现当前研究中的差距,并为公共卫生战略提供信息.
主要方法:
- 按照PRISMA 2020指南,对PubMed,CINAHL和PsycINFO进行系统的文献搜索.
- 包括使用心理测量验证的悲伤仪器和定量数据的观察性研究.
- 对15项符合条件的研究进行分析,评估成人癌症患者的悲伤.
主要成果:
- 在各种癌症类型,环境和地区中,中度至高水平的悲伤症状普遍存在.
- 晚期癌症预备性悲伤 (PGAC) 评分经常表明临床关注.
- 悲伤与焦虑,抑郁,绝望和尊严有显著的相关性,并因人口和疾病感知因素而加剧.
结论:
- 悲伤是癌症患者的主要心理担忧,通常无法通过一般应急措施检测到.
- 在初级保健和门诊机构进行结构化查对于识别患者悲伤至关重要.
- 获得社区支持和协调后续行动的可访问的转介途径对于悲伤管理至关重要.
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